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Sole proprietors who wish to request an extended repayment schedule request must complete an extended repayment schedule request form.

Use this form for all overpayments. Options must be selected; if none are checked, an overpayment letter will be issued. Mail the form to the appropriate address included at the end of the form.

To consider an extended repayment schedule request for a corporation or group, the following documentation is required.

View open meeting documentation from April 28, 2022, on skin substitutes. 

Expedited prior authorization request hospital outpatient procedures Medicare Part A Fax/Mail Coversheet - Allowable if it is determined that a delay could seriously jeopardize the beneficiary’s life, health, or a…

The preliminary 2026 portable X-ray transportation payment rates have been posted for notice. Comments will be accepted through October 30, 2025. 

Section 4507 of the 1997 Balanced Budget Act allows a physician or practitioner to enter a private contract with a Medicare beneficiary.

The CMS sample revalidation letter offers providers the opportunity to see what they can expect to receive when it is time for them to revalidate. Access the revalidation request letter to be prepared for your revalidation.

The CMS sample revalidation letter offers providers the opportunity to see what they can expect to receive when it is time for them to revalidate. Access the stopping billing privileges letter to be prepared for your revalidation.

This interactive “Electronic Data Interchange (EDI) enrollment form” is intended for provider use only.